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. 2013 Feb 28;57:10.3402/fnr.v57i0.18889. doi: 10.3402/fnr.v57i0.18889

Table 1.

Comparison of BMI in pregnant women between groups of Asian and African origin and the majority population in European countries

Author, year, (reference number) Study design Study population Variable Ethnic groups n Results Comments
Djelantik et al. 2012 (39) Community-based cohort study Pregnant women living in Amsterdam, the Netherlands, January 2003–March 2004 Pre-pregnant BMI (pBMI)
N
Dutch
African
Turkish
Moroccan
Other non-Western
Other Western

7,871
4,900
495
328
585
904
659
pBMI 25–30

13.7%
30.9%
22.7%
33.4%
21.3%
11.1%
pBMI>30

4.1%
18.0%
11.0%
12.7%
7.9%
3.5%
Self-reported height and weight.
pBMI>30 significantly more frequent among Turkish, Moroccan, and women of African descent
Jenum et al. 2012 (41) Population-based cohort study Healthy, pregnant women from three city district of Oslo, Norway, May 2008–2010 Pre-pregnant BMI (pBMI)
N
Western Europe
South Asia
East Asia
Middle East
Somalia
Sub-Saharan Africa/other non-Western

823a
313
188
39
112
35
30
pBMI. Mean (SD)

24.6 (4.8)
23.7 (4.1)
22.3 (3.4)
25.9 (5.1)
26.8 (6.5)
26.3 (6.5)
Self-reported pre-pregnant weight, measured height at first visit.
Heterogeneity between groups.
Hestlehurst et al. 2010 (37) Database study Women attending 37 maternity units in UK, 1989–2007 Early pregnant BMI
N
White
Asian/Asian British
Black/Black British
Mixed
Chinese or other ethnic groups

619,323
447,423
50,738
22,525
5,962
11,394
BMI 25–29.9

24.7%
25.6%
32.3%
23.5%
20.5%
BMI>30

13.7%
10.4%
20.6%
12.7%
7.6%
Maternal height and weight at initial GP appointment, adjusted for gestational age. The study population was found to be nationally representative.
Black/Black British had significantly higher ORs for overweight and obesity (Reference: White. Adjusted for age, parity, employment, and deprivation).
Ochsenbein-Kölble et al. 2007 (48) Prospective cross-sectional study Nulliparous women attending an obstetric prenatal outpatient clinic, Zürich, Switzerland, January 1996–February 2000 Pre-pregnant BMI (pBMI)
N
Caucasians
Asians
Blacks

4,034
3,242
578
214
pBMI. Mean (SD)

23.6 (4.5)
22.5 (3.9)
24.1 (4.3)
Self-reported pre-pregnant weight. Mean pBMI sign different in Asians, but not in Blacks, compared to Caucasians.
Loetscher et al. 2007 (40) Retrospective cohort study Nulliparous women attending a prenatal outpatient clinic, Zürich, Switzerland, 1999–2003 Pre-pregnant BMI (pBMI)
N
Switzerland
Turkey
Sri Lanka
Middle East
South Asia
Far East
Africa

1,432a
262
95
173
24
36
36
118
pBMI>25

22.9%
42.1%
34.1%
41.7%
19.4%
2.8%
50.0%
pBMI>30

8.0%
16.8%
4.6%
8.3%
2.8%
0.0%
16.1%
Self-reported pre-pregnant weight, measured height at first visit.
No analyses on differences in pre-pregnant BMI across ethnic groups were presented.
Hestlehurst et al. 2006 (38) Database study Women attending a maternity unit, Middlesbrough, UK, 1990–2004 Early pregnant BMI
N
Caucasian
Mixed race
Asian/Asian British
Black/Black British
Chinese/other
Ethnic group unknown

36,821
33,420
187
1,486
77
133
1,058
BMI 25–29.9

23.8%
18.2%
23.4%
28.6%
14.3%
24,1%
BMI>30

10.8%
11.2%
9.5%
10.4%
6.8%
11.2%
Maternal height and weight at initial GP appointment, adjusted for gestational age. Ethnicity was not significantly associated with obesity in models adjusted for age, parity, employment, deprivation, and marital status.
a

Results from women of other European and American nationalities not reported in this table.